Musculoskeletal: Orthotics & Prosthetics Flashcards
(35 cards)
Metal AFO
Two metal uprights, calf band, mechanical ankle joint and shoe
Locked or limited ant/post motion
Foot Orthotic
Semirigid or rigid insert Correct foot alignment Improve function May reduce pain Custom made
Plastic AFO
Cast mold of patient’s LE in subtalar neutral
More cosmetic, lighter
Edema must be controlled
Footplate added to reduce tone
Solid AFO
Trim line anterior to malleoli
Control DF/PF and INV/EV
90 degrees or articulating ankle allows tibia to advance in mid-late stance
Posterior Leaf Spring
Plastic AFO with trim line posterior to malleoli
Assists with DF and preventing foot drop
Requires patient med/lat control.
Floor Reaction AFO
Assists with knee extension in stance with calf band and/or ankle positioning
AFO Indications
Peripheral neuropathy
Nerve lesions
Hemiplegia
Metal KAFO
Two metal uprights from foot/shoe to calf and thigh bands
Allow locking mechanism at the knee
Ankle held in proper alignment
Plastic KAFO
Plastic thigh shell connected to plastic AFO by two metal uprights med/lat to knee
Allow locking mechanism at the knee
Ankle held in proper alignment
Craig-Scott KAFO
Designed for paraplegia
Allows one to stand with posterior trunk lean
HKAFO
Bilateral KAFOs with extension to hip joints and pelvic band
Can control hip rotation, abd/add
Heavy and restricts to swing-to or swing-through gait pattern
Reciprocating Gait Orthosis (RGO)
HKAFO derivative with cable system that advances one LE after patient shifts their weight to the other LE
Mainly for paraplegia
Parapodium
Prefab standing frame allowing patient to sit when needed
Ambulation by shifting weight and rocking base across floor
Mainly for pediatrics.
Corset
Fabric, may have metal uprights for abdominal compression and support
Provide pressure, relieve pain in mid/low back pathology
Halo Vest Orthosis
Full restriction of all cervical motion
4 pins from ring into skull
Cervical SCI
Worn until spine becomes stable
Milwaukee Orthosis
Correct scoliotic curvature
Custom
Pelvis to upper chest
Corrective padding to areas of severity of the curve
Taylor Brace
TLSO limiting trunk flexion and extension
3-point control design
TLSO
Custom TLSO prevents all trunk motion
Rigid plastic shell of bivalve style using straps/Velcro
Mainly post-surgical.
Forequarter (Scapulothoracic)
Amputation of entire UE including the shoulder girdle
Shoulder Disarticulation
Amputation of UE through the shoulder
Transhumeral
Amputation of UE proximal to the elbow
Elbow Disarticulation
Amputation of UE through the elbow
Transradial
Amputation of UE distal to the elbow
Wrist Disarticulation
Amputation of the hand through the wrist